Safety Induction

Safe Work Method Statement (SWMS)

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Company

Name of Company

Site Address

Project Name

Brief Description of Work Activity

Contractor

Email Address

Contact Phone

Position

Industry Experience

Emergency Contact Name/Phone

Safety check

Are you unable to do this job by yourself?

If you are working with others, specify number of people.

Have you got the correct PPE?

Do you need to barricade the site or footpath for any hazard?

Is there any hazard on site?

Specify hazards

Do you need to involve traffic controllers or close footpath?

Will you use an EWP?

Type of EWP

Specify type of EWP

Do you have a harness?

Have you done the pre-start checklist for EWPs?

Have you done your induction?

Site Photos

Notes

Details

We the undersigned, confirm that the SWMS nominated above has been explained and its contents are clearly understood and accepted. We also confirm that our required qualifications to undertake this activity are current. We also clearly understand the controls in this SWMS must be applied as documented; otherwise work is to cease immediately.

If there are any incidents or hazards, please contact the Signage Mates office immediately on 1300 404 888.

Signature

Name

Date

Time